ALUMINUM HYDROXYCHLORIDE 6.25%/ALCOHOL 96% SOLN,TOP (6271)    VA PRODUCT (50.68)

Name Value
NAME ALUMINUM HYDROXYCHLORIDE 6.25%/ALCOHOL 96% SOLN,TOP
VA GENERIC NAME ALUMINUM HYDROXYCHLORIDE
DOSAGE FORM SOLN,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-02-15 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ALUMINUM HYDROXYCHLORIDE SOLN,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME XERAC AC TOP SOLN
VA PRODUCT IDENTIFIER A0182
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4006791
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-02-15 00:00:00
    STATUS:   INACTIVE
  • 2021-02-15 00:00:00
    STATUS:   INACTIVE
  • 2021-02-15 00:00:00
    STATUS:   INACTIVE